Factors associated with hospital outcome in patients with Surgical Site Infection
DOI:
https://doi.org/10.17058/reci.v16i.20408Keywords:
Surgical Wound Infection, Hospital Care, Quality of Health CareAbstract
Background and Objectives: Surgical site infections (SSI) represent a major challenge in hospitals and are among the most frequent complications of surgical procedures. This study aimed to investigate the sociodemographic, clinical, and infection factors associated with hospital outcomes in patients with SSI treated at a public tertiary teaching hospital in Northeastern Brazil. Methods: this is an analytical, retrospective, and quantitative study. The population comprised the medical records of patients aged 18 years or older who developed SSI from 2017 to 2023. Pearson's chi-square test, Fisher's exact test, Mann-Whitney U test, and t-test for independent samples were used for inferential analysis. Results: 108 cases of surgical site infection were identified in the period described. The presence of oncological disease showed a tendency to be associated with the outcome of death. The analyses showed that the potential for surgical contamination is strongly associated with the outcome of hospitalization (p = <0.001) and that surgical reoperation showed a tendency towards higher mortality. Patients with oncological disease have a Relative Risk (RR) of 1.7 times higher of death compared to those who did not have this condition, and an Odds Ratio (OR) of 2.25, which indicates a higher chance of death in this group. Conclusion: the results indicated the influence of factors associated with increased vulnerability to SSI, which indicates the importance of knowing the profile of patients in order to outline care aimed at preventing complications.
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